Wisconsin Retina, S.C.

Primary specialty

Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X

License

39513 Issued in WI

Legal business name

WISCONSIN RETINA, S.C.

Practice address

2600 N Mayfair Rd Ste 350
Milwaukee, WI 53226-1372

Phone

(414) 777-0110

Fax

(414) 777-0330

NPI assigned

Apr 3, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jay A Met, M.D.NPI 1013963107

Title

President

Phone

(414) 777-0110

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jay A. Met, MD

  • Ophthalmology Physician
  • Milwaukee, WI
  • NPI 1013963107
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700907045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 N MAYFAIR RD STE 350",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532261372",
            "telephone_number": "414-777-0110",
            "fax_number": "414-777-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 N MAYFAIR RD STE 350",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532261372",
            "telephone_number": "414-777-0110",
            "fax_number": "414-777-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISCONSIN RETINA, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MET",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-777-0110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "WI",
            "license": "39513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32394500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Wisconsin Renal Care Group, L.L.C. (WRCG Milwaukee)
• Wisconsin School of Professional Psychology (WSPP Psychology Center)
• Wisconsin Smiles (American Dental Group)
• Wisconsin Special Security Services LLC
• Wisconsin Stress Control Center, LTD
• Wisconsin Surgery Center LLC

• Ophthalmologic Surgery Clinic/Center in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Ophthalmologic Surgery Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.